I am a new user (37 years old) here and I would really appreciate your advices.
I don’t know what to do and I don’t know if I have PFS or secondary hypogonadism (and/or +sympthons from fina). It all started about 11/2017 when I noticed a lower sensitivy during sex. That I notice couple of months and also, I was started to have some kind of nausea feeling but not like going to throw up. I don’t know whats the right term for that but feeling not good. That continued little by little. Also, at this time period and 2 years backwards (starting from around 8/2015) I was gone though some serious life crisis situations which were really stressful and difficult to handle on my mind. Then at 2/2018 my penis went numb at one night and I was having these nausea kinds of feelings for a long time. And also I had some strange feelings in my legs, hands and occipital, like the sensing was disturbed. That lasted a few days. And all this time I was using finasteride. I had use it about 10-11 years. On 3/2018 I stopped using finasteride. I have gone to many blood tests and all that was found on these were the low testo and low free testo. Testosterone have been in the range of 11-13 [range:10-38] (about 5-6 measures at time period 2/2018-9/208). Free testosterone have been in the range of 179-191 [range:230-575], that also measured 5-6 times now. S-Estradiole (2.3.2018) have been 0.07 nmol [range: ≤ 0.15 nmol/l] and LH: 3,7 U/l [range 1-9 U/l]. All this time libido has fallen down and sexual cabability is poor. And the penis sensitivity has been variable, mostly poor sensitivity and ED. Now on 9/2018 I have tried Letrozol for about a month. LH rised to 8.6 U/l [range 1-9 U/l] and Estradiole have been about the same 0.08 nmol [range: ≤ 0.15 nmol/l]. Testosterone results im still waiting for a week. So well see where that’s going.
But now I really don’t know is this finasteride sympthons that’s causin these, do I have PFS or is it hypogonadism. And what should I do, was the Letrozol a bad decision? Or should i try TRT? Or forget these medications and go with some protocol? Letrozol have helped a little (average) to the nausea kind of feeling but not for the sexual things. But this situation has continued so long so im also very depressed for that. So there was the basic story of my situation. Sorry about the bad English and thank you in advance! I also wish the best for everyone here.
Former Blood test form 2/2018:
Measure: Result: (Range)
P-Kreatine: 94 umol (l≤ 100 umol)
fP-Glukoce: (fasting) 6.0 mmol (4 - 6 mmol)
B-Hemoglobine-A1c: 35.0 mmol (mol20 - 42 mmol/mol)
P-Alaniiniaminotransfera: 19 U (l≤ 50 U)
S-Tyreotropine: 2.0 mU (l0.4 - 4.5 mU)
S-Tyroksine, free: 15.7 pmol (l11 - 21 pmol)
S-Prolaktine: 214 mU (l≤ 350 mU)
S-HBG: 44 nmol (14 - 71 nmol)
S-Testo,free,calculated: 184 pmol (l230 - 575 pmol)
Glom.filtering CKD-EPI 89 ml/min/1.73m2 (≥ 89 ml/min/1.73m2)
B-Hemoglobine: 150 g (l134 - 167 g)
B-Eryt: 43 % (39 - 50 %)
B-Erytrosytes: 4.72 E12 (l4.3 - 5.7 E12)
E- Eryt,middle: 91 fl (82 - 98 fl)
E-Hemoglob,middlemass: 32 pg (27 - 33 pg)
B-Leukosytes: 5.4 E9 (l3.4 - 8.2 E9)
B-Trombosytes: 177 E9/l (150 - 360 E9)
S-Testosterone: 13.2 nmol (l10 - 38 nmol)
S-Cortisol(2/2018): 523 nmol (130 - 550 nmol/l) -> (4/2018) -> 373 nmol (130 - 550 nmol/l)